Individual
DR. DENNIS EDWARD MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1900 HOLLISTER DR STE 300, LIBERTYVILLE, IL 60048-5247
(847) 968-6000
(847) 968-5404
Mailing address
1900 HOLLISTER DR STE 300, LIBERTYVILLE, IL 60048-5247
(847) 968-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002819
—
IL
Enumeration date
08/08/2006
Last updated
07/08/2007
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